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Products found: 19New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOH PaysInter- change- ableLimited UseThera- peutic Notes
02502674ADALIMUMABIdacio 40mg/0.8mL Inj Sol-0.8mL Pref Pen (Preservative-Free)FKC471.2700471.2700NOYESNO
02502682ADALIMUMABIdacio 40mg/0.8mL Inj Sol-0.8mL Pref Syr (Preservative-Free)FKC471.2700471.2700NOYESNO
02486997CASPOFUNGINCaspofungin for Injection (Off-Formulary Interchangeable) 70mg/Vial Inj Pd-Vial PkFKC222.5000222.5000YESNONO
02486989CASPOFUNGIN ACETATECaspofungin for Injection (Off-Formulary Interchangeable) 50mg/Vial Inj-Vial PkFKC222.5000222.5000YESNONO
02532247ENOXAPARINElonox 30mg/0.3mL Inj Sol-0.3mL Pref Syr (Preservative-Free)FKC4.91244.9124NONONO
02532255ENOXAPARINElonox 40mg/0.4mL Inj Sol-0.4mL Pref Syr (Preservative-Free)FKC6.54986.5498NONONO
02532263ENOXAPARINElonox 60mg/0.6mL Inj Sol-0.6mL Pref Syr (Preservative-Free)FKC9.82489.8248NONONO
02532271ENOXAPARINElonox 80mg/0.8mL Inj Sol-0.8mL Pref Syr (Preservative-Free)FKC13.099713.0997NONONO
02532301ENOXAPARINElonox HP 120mg/0.8mL Inj Sol-0.8mL Pref Syr (Preservative-Free)FKC19.649519.6495NONONO
02532298ENOXAPARINElonox 100mg/mL Inj Sol-1mL Pref Syr (Preservative-Free)FKC16.374616.3746NONONO
02532328ENOXAPARINElonox HP 150mg/mL Inj Sol-1mL Pref Syr (Preservative-Free)FKC24.561924.5619NONONO
02404761GANCICLOVIR SODIUMGanciclovir for Injection (Temporary Benefit) 500mg/Vial Pd for Sol-10mL Vial PkFKC44.548044.5480NONONO
02242905MIDAZOLAMMidazolam Injection 5mg/mL Inj Sol (with Preservative)FKC4.10004.1000YESYESNO
02246598PAMIDRONATE DISODIUMPamidronate Disodium for Injection (Off-Formulary Interchangeable) 6mg/mL Inj Sol-10mL VialFKC176.7000176.7000YESNONO
02246597PAMIDRONATE DISODIUMPamidronate Disodium for Injection (Off-Formulary Interchangeable) 3mg/mL Inj Sol-10mL VialFKC86.780086.7800YESNONO
02246599PAMIDRONATE DISODIUMPamidronate Disodium for Injection (Off-Formulary Interchangeable) 9mg/mL Inj Sol-10mL VialFKC260.3300260.3300YESNONO
02396963SOYBEAN OIL & MEDIUM CHAIN TRIGLYCERIDES & OLIVE OIL & FISH OILSMOFLipid 20% 6% & 6% & 5% & 3% w/v Inj Emuls-250mL PkFKC27.500027.5000NOYESNO
09857595SOYBEAN OIL & MEDIUM CHAIN TRIGLYCERIDES & OLIVE OIL & FISH OILSMOFLipid 20% 6% & 6% & 5% & 3% w/v Inj Emuls-500mL PkFKC33.330033.3300NOYESNO
02434458ZOLEDRONIC ACIDZoledronic Acid for Injection (Off-Formulary Interchangeable) 4mg/5mL Inj Sol-5mL Pk (Preservative-Free)FKC415.5600415.5600YESNONO